Develop genograms for client families presenting for psychotherapy
Assignment: Practicum – Assessing Client Families Learning Objectives Students will: • Assess client families presenting for psychotherapy • Develop genograms for client families presenting for psychotherapy ( 1 PAGE GENOGRAM) To prepare: • Select a client family that you have observed or counseled at your practicum site. • Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources. • Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected. The Assignment Part 1: Comprehensive Client Family Assessment Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following: • Demographic information • Presenting problem • History or present illness • Past psychiatric history • Medical history • Substance use history • Developmental history • Family psychiatric history • Psychosocial history • History of abuse and/or trauma • Review of systems • Physical assessment • Mental status exam • Differential diagnosis • Case formulation • Treatment plan Part 2: Family Genogram Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents). Week 3: Experiential and Narrative Family Therapy The Smiths, a family of five, present with their 14-year-old male son, Joshua, who is identified as “the patient.” Almost immediately, the psychiatric mental health nurse practitioner notices the subtle struggle between the parents to be heard first, often talking over one another. Joshua finally blurts out, “You see, you two are crazy, and you think it’s me.” Joshua’s father immediately becomes angry, and Joshua’s mom is quick to rush to Joshua’s side. She begins to argue with her husband about his treatment of their son. The Smiths and other clients like them may be candidates for both experiential therapy and narrative family therapy, and it is important to note that these are distinctly different therapeutic approaches. Experiential therapy examines experiences of the “here and now,” whereas narrative family therapy focuses on retelling one’s story to understand why one behaves in certain ways. When assessing client families and selecting one of these therapies, you must not only select the one that is best for the clients, but also the approach that most aligns to your own skill set. This week, as you explore experiential and narrative family therapy, you assess families presenting for psychotherapy. You also examine the effectiveness of therapeutic approaches for client families with impaired family functioning. Learning Resources Required Readings American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author. • Standard 5B “Health Teaching and Health Promotion” (pages 55-56) Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson. • Chapter 7, “Experiential Family Therapy” (pp. 105-118 • Chapter 12, “Narrative Therapy” (pp. 189-201) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. • “Genograms” pp. 137-142 Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73-77. doi:10.1080/08975353.2014.881696 Escudero, V., Friedlander, M. L., Boogmans, E., & Loots, G. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26-37. doi:10.1037/a0026747 Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20-30. doi:10.1002/anzf.1043 Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128-147. doi:10.1080/08975353.2011.578036 Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294-310. doi:10.1007/s10567-013-0142-2 Required Media Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author. The approximate length of this media piece is 115 minutes. Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 3 minutes. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Credit: Provided courtesy of the Laureate International Network of Universities. Psychotherapy.net. (Producer). (n.d.). Narrative family therapy [Video file]. The approximate length of this media piece is 111 minutes. Optional Resources Psychotherapy.net (Producer). (2007). Existential psychotherapy [Video file]. San Francisco, CA: Author. Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes.
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